Official Illinois Ui Ha Form in PDF Open Editor

Official Illinois Ui Ha Form in PDF

The Illinois UI Ha form is a crucial document for household employers in Illinois, used to report unemployment insurance contributions. This form requires specific information, including your unemployment insurance account number, the Federal Employer's Identification Number, and details about your household employees. Completing this form accurately ensures compliance with state regulations and helps avoid penalties.

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The Illinois UI Ha form serves a crucial role in the realm of unemployment insurance for household employers. This form is specifically designed for individuals who employ household workers, such as nannies, caregivers, or housekeepers, and it helps ensure compliance with state regulations regarding unemployment insurance contributions. To begin, employers must provide their Illinois Unemployment Insurance Account Number and the Federal Employer's Identification Number (FEIN) assigned by the Internal Revenue Service. Personal identification details, including the employer's full name and mailing address, are also required. The form mandates that employers list each household employee, including their names and Social Security numbers, while also detailing the total wages paid to each employee for every quarter of the year. Employers must report all forms of compensation, including salaries, bonuses, and even non-cash benefits like meals or lodging. If an employer has more than eight employees, additional documentation is necessary. Furthermore, the form requires calculations to determine taxable wages and contributions due, based on a specified wage base. This process not only aids in proper reporting but also helps employers avoid penalties that could arise from filing inaccuracies or failing to meet deadlines. Completing the Illinois UI Ha form accurately is essential for maintaining compliance and ensuring that household employees receive the unemployment benefits they may need in the future.

Frequently Asked Questions

What is the Illinois UI Ha form?

The Illinois UI Ha form is a report that household employers must file to report wages paid to their employees and to calculate unemployment insurance contributions. This form is essential for compliance with state unemployment insurance laws and helps ensure that employees are covered under the unemployment insurance system.

Who needs to fill out the UI Ha form?

Any household employer in Illinois who has employees that meet certain criteria must complete the UI Ha form. This includes individuals who have paid wages to household employees during the reporting period. Employers must report all covered workers, including full-time and part-time employees, who performed services or received pay during the payroll period.

What information is required on the UI Ha form?

The form requires various details, including your 7-digit Illinois Unemployment Insurance Account Number, the 9-digit Federal Employer's Identification Number (FEIN), your name, address, and the names and Social Security numbers of your household employees. Additionally, you must report the total wages paid to each employee for each quarter of the year.

How do I calculate the total wages paid for each quarter?

To calculate total wages, you need to sum up all payments made to each employee during the quarter. This includes salaries, commissions, bonuses, tips, and any other forms of remuneration. If no wages were paid in a quarter, you should enter "0." Make sure to report any wages that exceed the unemployment insurance taxable wage base amount, which is $13,560 for 2012.

What happens if I do not file the UI Ha form by the deadline?

If you fail to file the UI Ha form or pay the required contributions by the due date, you may incur penalties and interest. It is crucial to meet the deadlines to avoid these additional costs. Filing on time helps maintain compliance with state regulations and protects your employees' benefits.

Where should I send the completed UI Ha form?

Once you have completed the UI Ha form, mail it along with your payment to the Illinois Department of Employment Security at PO Box 3637, Springfield, IL 62708-3637. Ensure that all required information is filled out accurately to avoid processing delays.

What should I do if I have questions about the UI Ha form?

If you have questions or need assistance regarding the UI Ha form, you can call the Unemployment Insurance Hotline at 1-800-247-4984 (option 2). For individuals who are hearing impaired, the TTY number is 866-212-8831. It is important to seek help if you are unsure about any part of the form to ensure accurate reporting.

Form Specifications

Fact Name Description
Account Numbers Required The Illinois UI Ha form requires the submission of a 7-digit Illinois Unemployment Insurance Account Number and a 9-digit Federal Employer's Identification Number (FEIN).
Wage Reporting Employers must report total wages paid to each household employee for each quarter. If no wages were paid, "0" should be entered.
Taxable Wage Base For 2012, the taxable wage base amount is $13,560 per employee. Employers only pay contributions on wages up to this amount.
Governing Law The Illinois UI Ha form is governed by the Illinois Unemployment Insurance Act, specifically under 820 ILCS 405/100-3200.

Common mistakes

  1. Missing or Incorrect Identification Numbers: It's crucial to accurately enter your 7-digit Illinois Unemployment Insurance Account Number and the 9-digit Federal Employer's Identification Number (FEIN). Errors here can lead to processing delays or complications.

  2. Incomplete Employee Information: Ensure you provide the full names and Social Security numbers of all household employees. Omitting any details or listing them incorrectly can cause issues with your report.

  3. Misreporting Wages: Carefully report the total wages paid to each employee for every quarter. If no wages were paid, you must enter "0." Failing to do so can result in incorrect calculations and potential penalties.

  4. Ignoring Taxable Wage Limits: Remember that for 2012, the taxable wage base is $13,560 per employee. If wages exceed this amount, accurately calculate the excess and report it correctly. Mistakes here can lead to overpaying or underpaying your contributions.

  5. Neglecting to Sign the Report: The report must be signed by the person listed in Step 1, Line 2. If someone else signs, a Power of Attorney must be attached. Failing to sign or provide proper authorization can delay processing.

Form Preview

UI-HA Report for Household Employers Instructions

You may file on-line at https://taxnet.ides.state.il.us

Step 1

Line 1a Enter your 7-digit Illinois Unemployment Insurance Account Number.

Line 1b Enter the nine digit Federal Employer's Identification number (FEIN) assigned to you by the Internal Revenue Service.

Line 2 Enter your first name, middle initial and last name.

Line 3 Enter the street address including the city, state and zip code where you want to receive this form.

Step 2

Lines 6 through 14 - use one line for each employee

Column A

Print the last and first name(s) of your household employee(s).

Column B

Complete this item by copying your employee’s social security number from his or her Social Security card.

Columns C through F (quarters)

Enter the total wages paid to each employee for each quarter of the year. If no wages were paid for that quarter, please enter "0".

Wages include (a) salaries, commissions and bonuses, tips reported to the employer, separation pay, vacation pay, prizes, sick pay, payments on account of retirement; (b) the reasonable cash value of remuneration paid other than cash, such as goods, meals and lodging; and (c) any remuneration for services performed within the State which is considered wages under the Federal Unemployment Tax Act.

Line 15 If you had more than eight household employees during 2012, use an additional sheet of paper and include the information in Step 2 for each additional worker. Total each Column C through F on the attachment, and write the totals on Line 15 in the appropriate column.

Line 16a Add Lines 6 through 15 within each column. This is the total wages paid for each quarter.

Step 3

Line 16b Copy totals from line 16a above.

Line 17 Write in the total wages paid in excess of the unemployment insurance taxable wage base amount for each worker. For 2012, the taxable wage base amount is $13,560 for each worker.

An employer must pay unemployment insurance contributions on only the first $13,560 in wages for each employee.

Example: You have one household employee that you pay $5,000 each quarter. During the first and second quarter, the wages paid to the employee total $10,000, so you would enter “0” in each column for the first and second quarters. During the third quarter, the total amount paid to the employee reaches $15,000 which exceeds the $13,560 unemployment insurance taxable wage base by $1,440. So the amount to be entered on Line 17 for the third quarter, is $1,440 ($15,000-$13,560). The fourth quarter wages of $5,000 must be entered on Line 17 for the fourth quarter since the wage base was met during the third quarter.

 

1st quarter

2nd quarter

3rd quarter

4th quarter

 

 

 

 

 

Ex Line 17

$ 0

$ 0

$1,440

$5,000

 

 

 

 

 

UI-HA instructions (12/12)

Step 3 continued

Line 18 Subtract Line 17 from Line 16b and enter the result on Line 18. These are your taxable wages.

Lines 19 and 20

For each quarter, calculate your unemployment insurance contribution. Within each column, complete either Line 19 or 20, whichever is applicable.

Line 21 Quarter totals: Enter the amount from Line 19 or 20 in each column. This is your contribution due for each quarter.

Line 22. Grand total. Add the quarterly totals from Line 21 (Columns C, D, E and F) and enter the result on Line 22. This is your 2012 total

unemployment insurance contributions due.

Step 4

Line 23-26 Enter the total number of employees (full or part time) who are covered by unemployment insurance and who performed services during or received pay for the payroll period including the 12th of

each month of the quarter. Include workers who have earned more than $13,560 in the calendar year and those on vacation or paid

sick leave. Exclude workers on strike.

Step 5

Line 27 Write the amount shown on line 22. This is your total 2012 unemployment insurance contribution.

Line 28 Write the amount of any previous payment made to the Illinois Department of Employment Security for the liability shown on Line 27.

Line 29 Subtract Line 28 from Line 27.

This is the amount of unemployment insurance contribution due.

Make your check payable to the Illinois Department of

Employment Security.

Step 6

Line 30 If you have stopped employing workers, write the date of the last day you employed workers.

Step 7

Line 31 This report must be signed by the person named in Step 1, Line 2. If signed by any other person, a Power of Attorney must be attached.

MAIL YOUR COMPLETED REPORT ALONG WITH YOUR CHECK TO:

ILLINOIS DEPARTMENT OF EMPLOYMENT SECURITY PO BOX 3637

SPRINGFIELD IL 62708-3637

General Instructions

What if I do not file or pay by the due date?

If you do not file a processable return or pay the tax you owe by the due date, you will owe penalty and interest.

What if I need to correct information I reported? Where may I obtain help or more information?

For other related forms or help with questions regarding unemployment insurance, please call the Unemployment Insurance Hotline toll-free at 1 800 247-4984 (option 2).

The TTY number for the hearing impaired is (866) 212-8831.

UI-HA instructions (12/12)

State of Illinois

Form UI-HA Report for Household Employers

Step 1: Tell us about yourself

Illinois Department of Employment Security

File on-line at https://taxnet.ides.state.il.us

1a ________________________________ b ___ ___–___ ___ ___ ___ ___ ___ ___

Illinois account number (Unemployment Insurance)

Federal employer’s identification number

 

2___________________________________________________________________

Your name (first, middle initial, last)

3___________________________________________________________________

Street Address

___________________________________________________________________

City

State

Zip

Step 2: Report your household employee information

5For unemployment insurance reporting, complete Columns A-F

6

A

 

B

 

C

 

D

 

E

 

F

 

Name

Social

1/2012

 

2/2012

 

3/2012

 

4/2012

 

 

(last, first)

Security No.

 

QTR. ending Mar. 31

 

QTR. ending June 30

 

QTR. ending Sept. 30

 

QTR. ending Dec. 31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

Other (attach) ________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16a Column totals: Add Lines 7 through 15 in each column

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step 3: Figure your unemployment insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

contribution due for each quarter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st quarter

 

 

2nd quarter

 

 

3rd quarter

 

 

4th quarter

 

16b Column totals: Copy totals from line 16a above.

 

 

______________________

______________________

______________________

_____________________

17Write the total wages paid in excess of the taxable

 

wage base amount ($13,560 per employee for 2012).

______________________

______________________

______________________

_____________________

18

Subtract Line 17 from Line 16b.

______________________

______________________

______________________

_____________________

19

If Line 16a is less than $50,000, multiply Line 18 by

______________________

______________________

______________________

_____________________

 

your 2012 contribution rate or 5.400%, whichever is less.

 

 

 

 

 

 

20

If Line 16a is $50,000 or more, multiply Line 18 by

______________________

______________________

______________________

_____________________

 

your 2012 contribution rate.

 

 

 

 

 

 

21

Quarter totals: Enter the amount from Line 19 and/or 20.

______________________

______________________

______________________

_____________________

22

Grand total: Add the quarter totals from Line 21 (Columns C, D, E and F) and write the result on Line 22.

 

 

22

_________________

UI-HA front 1 of 2 (12/12)

PLEASE RETURN THIS PAGE AND PAGE 2 OF THIS FORM

 

Step 4: Number of employees who are covered for unemployment insurance

Write the total number of covered workers (full and part time) who performed services during or received pay for the payroll period including the 12th of each month of each quarter. If none, write “0”

23

1st quarter

A

January 12

__________

B

February 12

__________

C

March 12

___________

24

2nd quarter

A

April 12

__________

B

May 12

__________

C

June 12

___________

25

3rd quarter

A

July 12

__________

B

August 12

__________

C

September 12

___________

26

4th quarter

A

October 12

__________

B

November 12

__________

C

December 12

___________

Step 5: Figure your total unemployment insurance contribution due

27

Write the amount from Line 22.

27

____________I ____

28

Write the amount of any previous payment to the Illinois Department of Employment Security for the liability shown on Line 27.

28

____________I ____

29

Subtract Line 28 from Line 27. Make your check payable to the Illinois Department of Employment Security.

29

____________I ____

 

 

 

 

Step 6: Complete if you are no longer employing workers

 

 

 

30

Write the date you stopped employing workers.

30

____/_____/____

 

 

 

 

month day year

 

 

 

 

 

Step 7: Sign below

Under penalties of perjury, I state that I have examined this report and, to the best of my knowledge, it is true, correct, and complete.

31 ____________________________________________________________

____/____/__________

(_____) ______________

Household employer’s signature (full name)

month day

year

Daytime telephone number

Filing deadline: April 15, 2013

You may file and pay on-line at https://taxnet.ides.state.il.us

Mail your completed report along with your check to:

ILLINOIS DEPARTMENT OF EMPLOYMENT SECURITY

PO BOX 3637

SPRINGFIELD IL 62708-3637

UI-HA back 2 of 2 (12/12)

This state agency is requesting information that is necessary to accomplish the statutory purpose as outlined under 820 ILCS405/100-3200. Disclosure of this information is REQUIRED. Failure to disclose this information may result in statutorily prescribed liability and sanction, including penalties and or interest. This form has been approved by the Forms Management Center.

PLEASE RETURN THIS PAGE AND PAGE 1 OF THIS FORM

Dos and Don'ts

When filling out the Illinois UI-HA form, consider the following guidelines to ensure accuracy and compliance.

  • Do: Enter your 7-digit Illinois Unemployment Insurance Account Number accurately to avoid processing delays.
  • Do: Include the nine-digit Federal Employer's Identification Number (FEIN) assigned by the IRS. This is crucial for identification purposes.
  • Do: List the names of all household employees clearly, using one line for each individual. This helps in organizing the information.
  • Do: Calculate and report the total wages paid to each employee for each quarter accurately. Remember to enter "0" if no wages were paid during a quarter.
  • Do: Sign the report yourself or attach a Power of Attorney if someone else is signing. This is essential for the validity of the document.
  • Don't: Avoid leaving any sections blank. Each required field must be filled to ensure the form is processable.
  • Don't: Do not forget to include the total number of employees covered by unemployment insurance. This information is necessary for accurate reporting.
  • Don't: Refrain from using abbreviations or shorthand when entering names or addresses. Clarity is key.
  • Don't: Avoid submitting the form without verifying all calculations, especially the total wages and contributions due. Errors can lead to penalties.
  • Don't: Do not mail the form without including your payment, if applicable. Ensure your check is made out to the Illinois Department of Employment Security.

Documents used along the form

The Illinois UI-HA form is an essential document for household employers reporting unemployment insurance contributions. Alongside this form, several other documents are commonly used to ensure compliance with state regulations. Below is a list of these documents, each serving a specific purpose in the unemployment insurance reporting process.

  • Form UI-3/40: This form is used for reporting wages and contributions for unemployment insurance. Employers must file it quarterly to detail the wages paid to each employee and calculate the unemployment insurance contributions owed.
  • Form UI-1: This is the initial registration form for employers in Illinois. It collects basic information about the business and establishes the employer’s unemployment insurance account.
  • Form UI-5: This form is for reporting any changes in the employer's status or business operations. It is important for keeping the unemployment insurance account updated with accurate information.
  • Dirt Bike Bill of Sale Form: For individuals looking to purchase or sell a dirt bike, the essential dirt bike bill of sale documentation is critical for ensuring a legally binding transaction.
  • Form 940: This federal form is used to report annual Federal Unemployment Tax Act (FUTA) taxes. Employers must complete it to report their liability for unemployment taxes at the federal level.
  • Power of Attorney: If someone other than the employer signs the UI-HA form, a Power of Attorney document must accompany it. This form grants authority to another individual to act on behalf of the employer in unemployment insurance matters.

These documents work together to facilitate accurate reporting and compliance with unemployment insurance requirements in Illinois. It is crucial for employers to understand their responsibilities and ensure all forms are completed correctly and submitted on time.

Misconceptions

Understanding the Illinois UI Ha form can be challenging. Here are ten common misconceptions about this important document:

  1. Only large employers need to file the UI Ha form. Many people believe that only businesses with numerous employees are required to submit this form. In reality, even household employers with just one employee must file.
  2. The form is only for employees who work full-time. This is not true. The UI Ha form must include all employees, whether they are full-time or part-time.
  3. Wages paid to employees are not included in the form if they are below a certain amount. All wages, regardless of the amount, must be reported, even if they are below the taxable wage base.
  4. It is unnecessary to report employees who are on leave. Employees on vacation or paid sick leave still count as covered workers and must be reported.
  5. The form can be submitted at any time. There are specific deadlines for filing the UI Ha form. Late submissions can result in penalties and interest.
  6. Only wages in cash need to be reported. Non-cash compensation, such as meals and lodging, also counts as wages and must be included.
  7. Filing online is not an option. The Illinois Department of Employment Security offers an online filing option, which can simplify the process.
  8. Once submitted, the form cannot be amended. If errors are found after submission, corrections can be made by filing an amended form.
  9. Household employees do not need to provide their Social Security numbers. It is essential to include the Social Security numbers of all household employees on the form.
  10. The taxable wage base amount changes frequently. While it may change annually, it is important to verify the amount for each specific year, as it does not change throughout the year.

Clearing up these misconceptions can help ensure compliance and make the filing process smoother for everyone involved.